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Phantom urinary incontinence in children with bladder-bowel dysfunction.

Angela M Arlen1, Liisa L Dewhurst1, Susan S Kirsch2

  • 1Department of Pediatric Urology, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA.

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Summary
This summary is machine-generated.

Phantom urinary incontinence (PUI) is a condition where children feel wet but are dry. Treatment involving bladder-bowel management effectively resolves PUI and associated symptoms in most cases.

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Area of Science:

  • Pediatric Urology
  • Child Psychology
  • Urodynamics

Background:

  • A novel condition, phantom urinary incontinence (PUI), is characterized by the sensation of wetness in children who are actually dry.
  • This entity presents a diagnostic challenge in pediatric urology.

Purpose of the Study:

  • To describe the characteristics of phantom urinary incontinence (PUI).
  • To evaluate the management and outcomes of children diagnosed with PUI.

Main Methods:

  • A retrospective review of 20 children diagnosed with PUI between 2009 and 2013.
  • Data collected included demographics, bladder/bowel symptoms, diagnoses, and treatment outcomes.

Main Results:

  • The study included 20 children (18 females, 2 males) with a mean age of 6.9 years.
  • Ninety-five percent had lower urinary tract symptoms, and all had constipation.
  • Obsessive-compulsive traits were reported in 70% of patients; 72% of girls had vaginitis.

Conclusions:

  • Children with PUI frequently exhibit obsessive-compulsive traits.
  • A comprehensive bladder-bowel regimen led to resolution of PUI and associated symptoms in 90% of cases.